Permit CITY OF TIGARD MECHANICAL PERMIT
3 COMMUNITY DEVELOPMENT Permit #: MEC2012 -00197
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/20/2012
Parcel: 2S111AD12600
Jurisdiction: Tigard
Site address: 15105 SW 89TH PL
Project: MCKEE Subdivision: SCHECKLA PARK ESTATES Lot: 33
Project Description: Wood stove and venting.
Contractor: ALL FUEL INSTALLATION & SERVICE LLC Owner: MCKEE, ERYN
PO BOX 69 15105 SW 89TH PL
TROUTDALE, OR 97060 TIGARD, OR 97224
PHONE: 503 - 674 -2350 PHONE:
FAX: 503 - 674 -2693
FEES
Specifics: Description Date Amount
Wood /Pellet Stove 04/20/2012 $33.39
Type of Use: SF Chimney /Liner /FlueNent 04 /20/2012 $23.32
Class of Work: ALT Type of Const: 12% State Surcharge - Mechanical 04 /20/2012 $10.80
Occupancy Grp: Minimum Fee Adjustment - Mechanical 04 /20/2012 $33.29
Stones:
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952- 001 -0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued B - Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
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Mechanical Permit Application FOit OFFlC:E USE ON(,1
City of Tigard � ` D °
� Permit No.:
r 13125 SW Hall Blvd., Tigard, OR 972 ! /1LI /tf G % a �a' 1: '/
(� Plan Review
Phone: 503.7182439 Fax: 503.5':try ' L ,' Date/By. Other Permit:
T I G A 11 I? InspccUOn Line: 503.639.4175 % - Date Ready/By: Jude: E See Page 2 for
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:,,,',. I v.- e e . t' � ' Mechanical permit fees' arc based on the value of the work
0 New construction ® Addition/altcratjgpk . ant performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition El Other: Yl - mechanical materials, equipment, labor, overhead, and profit
1��q.Ir Value: S
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® 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building For special lgformoilon use cheeldlsL
❑ Multi - family ❑ Master builder ❑ Other: Description 1 Qty. I Ea. + Total
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Job site address: 15105 SW 89 Place (requires site plan showing placement) 46.75
City/ State/ZIP: Tigard, OR 97224 Furnace 100.000 BTU (duets/vents) 46.75
• Furnace 100,000+ BTU (duets/vents) 54.91
Suite/bldgJapt. no.: I Project name: Heat pump
(requires site plan showing placement) 61.06
Cross street/directions to job site: Duct work , 23.32
Hydronic hot water system 23.32
Residential boiler (radiator or
hydronic) 23.32
• Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 46.75
Subdivision: , Lot no.: Flue/vent for any of above 23.32
Other: 23.32
Tax map/parcel no.: Other fuel appliances:
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. e r : �r; n r•sj 11J, �t{f I I , i 1 ; ttll, t 91 � i vr, �:.. b a em 'l ` L Water heater 23.32
a. IW,i,il 1� rY'„,..: �JJ�,:.f. ,. n. •2�r „IAllhn;d7.h(JL.Tp. rr, 11.•711t1ti,11. I •�,. .v, =1 �•:1 . rF't .
Gas fireplace/inscrt 33.39 -
Install wood stove and venting
Flue vent for water heater or gas
fireplace 23.32
Log lighter (gas) 23.32
Wood/pellet stove 1 33.39 33.39
Wood freplace/msert 23.32
1,7: __ Ar, . ;r,; : r.: ; T.'z noel - r .C;r,,i 1 ,:i. , ;: -I i ,.P , m„ �'.r 1i^irlt ' r ;licl , Chimney /liner /flut/vent 1 23.32 23.32
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Other. 23.32
Name: Katie Melee Environmental exhaust and ventilation:
Address: 15105 SW 89 Place Range hood /other kitchen
_ equipment 33.39 -
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City /State/ZIP: Tigard, OR 97224 Clothes dryer exhaust 33.39
Phone: (503),522 870 Fax: ) Single -duct exhaust (bathrooms,
( toilet Compartments. utility moms) 23.32
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Business name: See Below 23.32
Fuel piping:
Contact name: Eric Camp $14.15 for first four, $4.03 for each additional
Address: Furnace, etc.
Gas heat pump -
City/State/ZIP: Wall/suspended/unit heater
Phone: ( ) I Fax: : ( ) Water heater
Fireplace
E -mail: allfuel @comcast.net r
Range
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Business name: All Fuel Installation and Service, LLC. Clothes dryer (gas) .
- Other: _ _
`
Address: PO Box 69 ;I; 6,.i::a: " h tiir -1'i t ?''ng,;:t:Si: �•rl t ;Y fi - . M, t .IFi0II:'I'ii
City/ State/ZIP: Troutdale, OR 97060 • Subtotal 56.71
Minimum permit fee ($90.00) 90.00
• Phone: (503) 674 -2350- I Fax: (503) 674 -2693 Plan review (25% of permit fee)
CCB lie.: 169503. State surcharge (12% of permit fee) 10.80
' TOTAL PERMIT FEE 100.80
This permit application expire if n permit is not obtained within 180
Authorized signature: Z.. = 7 &.. days ofrer it has been accepted as complete.
I Print name: Eric Camp I Date: 4/19/12 * Fee methodology set by Tri- County Building Industry Service Board
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1: 1BuildiagTermite •Permitnppd0e. 03/07/12 440-461'71 (1 VO2/COMnVJ,�B)
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